Stroke
Conditions
Keywords
Stroke, Hand recovery, Plasticity, Computerized glove
Brief summary
Hand impairment post-stroke is a common condition that contributes to disability around the world. An effective intervention is required to optimize functional outcomes in the rehabilitation of hand-in-stroke patients.
Detailed description
Thirty male/female stroke patients in the sub-acute phase were randomly assigned in to the two groups (study and control) in sets of three. The study group (A) (n = 15) underwent a hand rehabilitation program using the computerized glove combined with the selected hand program. The control group (B) (n = 15) received only the selected hand program. The treatment schedules for 18 consecutive treatment sessions, three times per week.
Interventions
OTHERHand rehabilitation program using the computerized glove
The patient extended finger to reach from grey to green to red colour and heard the beep providing knowledge of result (KR), whereas the increase of range of finger extension reached every session provides knowledge of performance (KP). As the patient's performance improved, the range of their finger's movement will also be increased due to the augmented feedback provided to the patient and the therapist through the glove software
OTHERSelected hand program
Distal key point of Bobath, approximation of affected arm, to control spasticity of wrist/ finger flexor (5 minutes). Dynamic splint to facilitate wrist and finger extension (10 repeat\*5 sets). Passive range of motion exercise (10 repeat\*5 sets) for each joint. Mud exercise (spherical, clyndrical , hook). Thera band exercises.
Sponsors
Ahmed Alshimy
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. The patient's age ranges from 45 to 65 years old with a minimum score of 24 points on the Mini Mental Test. 2. Duration of illness ranges from (6weeks to 6 months) after stroke onset. 3. first stroke. 4. Upper limb spasticity ranged from 1+ to 2 according to the Modified Ashworth Scale. 5. With a minimum 10° extension and/or flexion of the wrist or fingers, an ability to flex and extend the wrist joint five times continuously without losing active range of motion.
Exclusion criteria
Patients with the following 1. apraxia or hemianopsia. 2. diabetic polyneuropathy. 3. Aphasia , cognitive deficits. 4. a previous disability in the upper limbs, tactile agnosia (stereognosis). 5. LT hemiplegia, Post Botox injection, recurrent stroke, and Posterior parietal lesion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantitive Electro Encephalo Graphy | 6 weeks | Used to assess Neuralplasticity (sleep Delta - Delta/Beta ratio ) |
| Computerized glove software | 6 weeks | Used to assess the Kinematic Data (Thumb, Index, Middle, ring, little, and average range of motion) |
| Action Research Arm Test | 6 weeks | Used to assess Fine manual dexterity |
Countries
Egypt
Outcome results
None listed